scholarly journals A Mother’s Account About Lactation in the Context of Perinatal Death

Objective: To discuss the importance of listening and having a humanized intervention in regard to the donation of breastmilk in the context of perinatal death. Methodology: Content analysis of an interview with a mother in mourning that went through a traumatic lactation following a perinatal death. This case study is one of qualitative, longitudinal research, realized over two partially-structured interviews with parents who had lost their babies with less than 22 weeks of gestation at a public hospital, in Belo Horizonte, Brazil, from February to October 2019. Results: The interviews in the case of “Eva” (hypothetical name) presented significant suffering from lactation following the death of her child and her mourning process, which caught the authors’ attention about the importance of this topic. Conclusions: Women who have lost their babies before, during, or after birth should be offered the option of donating their breastmilk, to allow them to choose what to do with it, and then to counsel them during the mourning process.

Objective: Verify the mourning and paternal suffering in the context of perinatal death, through interviews with the mothers that suffered a gestational loss. Methods: This study has a qualitative, longitudinal, and prospective research realized through two semi-structured interviews with parents who lost children with less than 22 weeks of gestation at the high-risk maternity ward at a public hospital, in Belo Horizonte, Brazil, from February-October 2019. In the interviews, a vital trait was paternal suffering, as evidenced by the mother's speech. This matter brought the authors attention. Results: The interviews in this study show evidence that men need to be tended regarding the time of neonatal loss. The women’s interviews expressed the suffering of their companions and demonstrated how they wished to share their pain with them during their period of mourning. The mothers provide evidence that they feel the need of their partners during gestational loss. Conclusions: Paternal suffering following neonatal loss is often ignored and forgotten about. Further research and directives of support, including supporting neonatal loss as part of the healthcare system, and meaningful steps to ensure quality treatment, are essential for making progress in this overlooked area.


2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Victor Silva Corrêa ◽  
Julio Araújo Carneiro-da-Cunha ◽  
Vânia Maria Jorge Nassif ◽  
Ernesto Michelangelo Giglio

Purpose Entrepreneurial orientation (EO) is highly emerging in the management literature. However, recent studies highlight the necessity to associate with reflections on this theme, usually approached from an economic perspective, propositions also derived from relational approaches. This paper aims to investigate associations between EO and social networks, specifically about the still little explored relational coupling/decoupling theme. Design/methodology/approach This paper provides an empirical and qualitative study of religious entrepreneurs. A total of 18 pastors responsible for creating and leading independent neo-Pentecostal churches located in Belo Horizonte/Brazil, selected using the snowball technique, participated in this qualitative, case-study research. Two analysis categories guided data collection: pastors’ EO (behaviors suggestive of their innovativeness, proactivity, competitive aggressiveness, risk-taking and autonomy) and churches’ social framework (the resources and attributes that pastors obtain from their institutional structure). Findings The study concludes that pastors combine attributes representing their EO and their social structure in developing their religious endeavors. Research limitations/implications Among the limitations are the restricted use of semi-structured interviews as a data collection source and the absence of data proving the churches’ performance. Originality/value The paper contributes by showing that entrepreneurs can influence the structure of their networks by using EO; proving that networks influence pastors’ EO; revealing recursivity between EO and networks; emphasizing a relational dimension of the EO construct and presenting new theoretical propositions that can be explored and tested in future investigations.


2014 ◽  
Vol 23 (2) ◽  
pp. 286-293 ◽  
Author(s):  
Karen Yukari Hayashida ◽  
Andrea Bernardes ◽  
Vanessa Gomes Maziero ◽  
Carmen Silvia Gabriel

This study's objective was to identify changes in decision-making arising from the revitalization of the participatory management model and how these changes impacted the daily work of the nursing staff, as well as to identify potential difficulties. This qualitative case study was conducted in a public hospital in the State of São Paulo, Brazil. Participant observation and semi-structured interviews were conducted with 23 nursing workers and the Health Technical Assistant. We used thematic content analysis for data analysis. The revitalization of the management model was not comprehensive because many professionals were oblivious to the process. Shared actions did not occur and adherence to the model was hampered because the workers were not fully informed of the assumptions concerning this management model. For the implementation of this model to be effective, teamwork and the inclusion of all the stakeholders should be reviewed in order to achieve more cooperative and qualified work.


2014 ◽  
Vol 35 (3) ◽  
pp. 130-136 ◽  
Author(s):  
Viviane Peixoto dos Santos Pennafort ◽  
Amanda Newle Sousa Silva ◽  
Maria Veraci Oliveira Queiroz

The aim of this study was to describe the perception of nurses regarding educational practices conducted with children with diabetes in a hospital unit. It is a descriptive qualitative study, conducted in an inpatient unit of a public hospital in Fortaleza, state of Ceará, Brazil, between January and February of 2013, with six nurses. Data were collected by means of semi-structured interviews and submitted to content analysis, from which two categories emerged: role of nurses and staff in caring for the child with diabetes: the necessary intersection; and health education directed at the child with diabetes and family members in the hospital context. Nursing professionals acknowledged educational activities as part of an interdisciplinary care strategy which must occur since the moment the child is admitted. However, they displayed a reductionist view, centered on insulin therapy and changes of habit, which indicates the need for more creative approaches, capable of enhancing learning aspects and minimizing the gaps which prevent the disease from being managed appropriately.


2008 ◽  
Vol 16 (2) ◽  
pp. 260-265 ◽  
Author(s):  
Richardson Augusto Rosendo da Silva ◽  
Vera Maria da Rocha ◽  
Rejane Marie Barbosa Davim ◽  
Gilson de Vasconcelos Torres

The research aims at identifying strategies of coping with AIDS used by mothers of HIV positive children to live better with their children's disease. The method used was a descriptive qualitative study. Thirty-three structured interviews were conducted with HIV positive women voluntaries and registered as users in the clinic of the public hospital of reference for the treatment of AIDS in Natal/RN. For data analysis, the method used was thematic content analysis. From the analysis, prevalent categories regarding forms of facing AIDS came up, they were: overprotection and fear; donation; hope; religious belief; underestimation of HIV; hiding the diagnosis; and resignation. This study shows that despite AIDS limitations and barriers, relatives develop strategies that make it possible to face every day problems and live better with it.


2014 ◽  
Vol 23 (3) ◽  
pp. 538-546 ◽  
Author(s):  
Isabela Silva Cancio Velloso ◽  
Meiriele Tavares Araújo ◽  
Jéssica Dias Nogueira ◽  
Marília Alves

The aim of the present study was to discuss the way visibility constitutes a power device in the everyday practice of the Mobile Emergency Care Service in Belo Horizonte, Minas Gerais, Brazil. A qualitative case study was developed and data were collected through semi-structured interviews with 31 workers of the service (five physicians, 11 nurses, seven nursing assistants and eight ambulance drivers) and submitted to discourse analysis. The analysis of power relations in the service allowed to verify that there is not an only one source from which the power emanates in this organizational structure. Power is exercised through many techniques and their sources are scattered, diffuse, interchangeable and even confusing. Although there is a hierarchical structure formally established, a parallel network to this structure is formed. It was also observed that the visibility generated by radio communication provides constant supervision, which generates tension within the team.


2019 ◽  
Vol 23 (1) ◽  
Author(s):  
Elana Maria Ramos Freire ◽  
Valéria Cristina da Silva ◽  
Adriane Vieira ◽  
Selme Siqueira de Matos ◽  
Marília Alves

ABSTRACT Objective: to analyze the communication strategies adopted by a General Hospital, which helped the accreditation’s maintenance with excellence. Method: case study of a Private Hospital in Belo Horizonte, Brazil, accredited with excellence. Data were collected through semi-structured interviews and through analysis of institutional documents. The interviews were transcribed in full and submitted to content analysis. Results: instigating organizational and behavioral changes that have generated insecurity and resistance in employees. The development of strategies to improve internal communication contributed to the uniformity of information and the greater integration of professionals in their actions, promoting the change in the workers’ attitudes, and engaging and involving them in the process. Conclusion: communication plays a prominent role in the consolidation of hospital care and the development of a priority strategy to reach and maintain it, with an emphasis on quality of care and patient safety.


2014 ◽  
Vol 35 (3) ◽  
pp. 90-96 ◽  
Author(s):  
Dalva Cezar da Silva ◽  
Maria de Lourdes Denardin Budó ◽  
Maria Denise Schimith ◽  
Gilson de Vasconcelos Torres ◽  
Vânia Lúcia Durgante ◽  
...  

The aim of this study was to identify the influence of social networks in the therapeutic itinerary of people affected by venous ulcers. Qualititative research was conducted in the outpatient clinic of a public hospital in Rio Grande do Sul, Brazil. Data were collected from January to February 2013 by means of semi-structured interviews with 14 people affected by venous ulcers. Content analysis provided the following categories: The family worries with me; I get lots of help from friends and neighbours, and I do it myself. Results revealed some elements of social networks that influence choices and continuity of treatment and care of patient with venous ulcers. It is therefore necessary for nurses to familiarize themselves with these social networks and work with them to strengthen the partnership in care.


2017 ◽  
Vol 29 (5) ◽  
pp. 584-602 ◽  
Author(s):  
Amina Raza Malik ◽  
Laxmikant Manroop ◽  
Parbudyal Singh

Purpose The purpose of this study is to examine the career transition experiences of three immigrants from Pakistan in Canadian organisations using Nicholson’s four-phase transition cycle. Design/methodology/approach A case study approach was used, and data were collected through three in-depth, semi-structured interviews to determine how immigrants experience career transitions in Canadian organisations. Findings The findings show that all three participants had almost the same level of expectations before coming to Canada; however, there were significant differences in their career transition experiences. These findings demonstrate that immigrants’ career experiences can be understood and examined through the lens of Nicholson’s transition framework; their expectations and experiences at one stage subsequently affected their experiences at later stages. Research limitations/implications A longitudinal research design would be an excellent approach to explore immigrants’ career transition over time. Practical implications Organisations hiring skilled immigrants need to be more supportive of their efforts in reducing immigrants’ feeling of underemployment and discrimination. Originality/value The study contributes to the immigrant literature by presenting a new way of looking at immigrants’ experiences in Canadian organisations. It also contributes to the career literature by extending the application of Nicholson transition cycle to an underrepresented population (i.e. immigrants) in careers research.


1997 ◽  
Vol 60 (2) ◽  
pp. 57-64 ◽  
Author(s):  
Merrill Crabtree ◽  
Michael Lyons

This article reports on a single case study of an occupational therapist working in a plastic surgery unit at an Australian public hospital. A phenomenological approach was used to explore the therapist's clinical reasoning in depth. Data were gathered over a 3–week period through semi-structured interviews with the informant and through participant observation of therapy sessions with patients and associated activities engaged in by the informant. The resulting narrative data were analysed inductively. The focus of this discussion is on the aspects of personal interactions that influence clinical reasoning. The article examines how such constructs as power, responsibility, caring and competence combine to influence clinical reasoning.


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